Individual
MRS. JUDY ANN FRYOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
427 W GRAND RIVER AVE, PORTLAND, MI 48875-1122
(517) 647-4867
(517) 647-4867
Mailing address
427 W GRAND RIVER AVE, PORTLAND, MI 48875-1122
(517) 647-4867
(517) 647-4867
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
470
MI
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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